Generations Healthcare Value (HMO) By Universal American Corp.

Generations Healthcare Value (HMO) is a 2014 Medicare Advantage ("Part C" or "MA Plan") plan by Universal American Corp.. This plan from Universal American Corp. works with Medicare to give you significant coverage beyond Part A and Part B benefits. If you decide to sign up for Generations Healthcare Value (HMO) you still retain Original Medicare. But you will get additional Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from Universal American Corp. and not Original Medicare. With Medicare Advantage plans your always covered for urgently needed and emergency care and you receive all of the benefits of Original Medicare from this plan except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.

Coverage Area for Generations Healthcare Value (HMO)

COMPARE AND SAVE ON MEDICARE INSURANCE

The Generations Healthcare Value (HMO) H3706-009 is available to residents in Oklahoma, and has a in-network Maximum Out-of-Pocket limit of $3,000 MOOP. This means that if you get sick or need a high cost procedure your co-pays are capped. If you enroll in Generations Healthcare Value (HMO) plan you will stop paying co-pays for the rest of the year once you pay out of pocket $3,000 This is a very nice safety net. This plan does not provideadditional Medicare prescription drug (Part-D) coverage.

Generations Healthcare Value (HMO) is a Local HMO *. With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. Health maintenance organizations require that you select a primary care physician (PCP). Your PCP will serve as your personal doctor to provide all of your basic healthcare services. If you need special care for a physician specialist, your primary care physician will make the arrangements and tell you where you can go in the network. You will need your PCPs okay, called a referral. Without getting a referral or services received from out-of-network providers are not typically covered by the plan.

Ratings for Generations Healthcare Value (HMO) H3706

2014 Overall Rating

Part C Summary Rating

Total Experience Rating

Complaints, Improvements

Total Customer Service Rating

Total Preventative Rating

Chronic And Long Term Care

Member Experience Rating for Generations Healthcare Value (HMO)

Total Experience Rating

Getting Needed Care

Timely Care and Appointments

Customer Service

Health Care Quality

Rating of Health Plan

Care Coordination

Member Complaints, Problems Getting Service and Improvements in Health Plans

Total Rating

Members Leaving the Plan

Complaints about Health Plan

Access to Service

Performance Problems

Health Plan Quality Improvement

Customer Service Rating for Generations Healthcare Value (HMO)

Total Customer Service Rating

Timely Decisions About Appeals

Reviewing Appeals Decisions

Call Center

Staying Healthy, Screening, Testing, & Vaccines

Total Preventative Rating

Breast Cancer Screening

Colorectal Cancel Screening

Cardiovascular Screening

Diabetes Care

Glaucoma Testing

Annual Flu Vaccine

Improving Physical

Improving Mental Health

Monitoring Physical Activity

Adult BMI Assessment

Ratings For Managing Chronic And Long Term Care

Total Rating

Medication Review

Functional Status Assessment

Pain Screening

Osteoporosis Management

Diabetes Care - Eye Exam

Diabetes Care - Kidney Disease

Diabetes Care - Blood Sugar

Diabetes Care - Cholesterol

Controlling Blood Pressure

Rheumatoid Arthritis

Improving Bladder Control

Reducing Risk of Falling

Plan - Cause Readmissions

Source: CMS.
Plans as of September 3, 2013.
Star Rating as of September 27, 2013.
For More Information on Ratings Please See the CMS Tech Notes Here.
Plans are subject to change as contracts are finalized.
Includes 2014 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.